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For Health Plan Partners

A specialized partner for better member and plan outcomes

Progyny works alongside plans to make complex family building and women’s health easier to navigate and manage. 

HealthPlans-1

Add specialized family building and women’s health benefits without adding complexity

Our specialized clinical and operational model helps plans support more member needs, strengthen their offering to clients, and deliver meaningful outcomes without taking on the complexity of building these capabilities internally.

FERTILITY CARE NEEDS ARE COMMON
1 in 6
struggle with infertility, and many more require family building assistance1
MATERNITY RISK STARTS BEFORE PREGNANCY
20%
of pregnancies are considered high-risk, while preconception care remains underused2
PRETERM BIRTH INCREASES MATERNITY COSTS
$26B
in annual U.S. costs are associated with preterm birth3
MIDLIFE CARE NEEDS ARE UNDERSERVED
59%
of employees missed work due to menopause symptoms; 18% missed 8 weeks or more4

Expert, specialized support for an evolving landscape

Progyny delivers a comprehensive family building and women’s health solution that supports members through every stage of their journey, from preconception and fertility to pregnancy, parenting, and menopause. Integrated with more than 50 health plans, we provide connected, compassionate, and personalized care for both self-insured and fully insured populations.

Built on the foundation of our industry-leading fertility benefit and a decade of strong clinical outcomes, our solution helps health plans deliver equitable, evidence-based care while improving visibility into outcomes.

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Where clinical outcomes and cost trend meet

Progyny combines clinical expertise, guided member support, and actionable reporting to help plans improve outcomes, manage cost and clinical risk, and understand program performance.
Better clinical outcomes

Progyny’s clinically guided model helps more members achieve the outcomes they are seeking: a healthy pregnancy and live birth. Compared with the national average, Progyny delivers a 12% higher pregnancy rate per IVF transfer and a 23% higher live birth rate.

Smarter management of high-cost care

Better outcomes should not require more treatment or introduce avoidable risk. Progyny’s model drives 41% fewer retrievals per live birth and a 22% higher single embryo transfer rate than the national average, helping reduce the likelihood of multiple pregnancies, NICU utilization, and associated high-cost claims.

Increased cost avoidance
Year-over-year, Progyny’s rates have decreased while healthcare costs across the U.S. continue to rise, experiencing rate increases of 5% or more per year.
More access to quality care delivery
Premier network of fertility and women’s health specialists, providing members access to over 1,100+ leading fertility specialists and 50-state access to menopause specialists, with provider appointments within a week.

Specialized infrastructure designed to work with your plan

Progyny brings together the implementation, member support, network, clinical oversight, and reporting capabilities plans need to deliver a connected experience and measurable results.
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Proven implementation

A +100 implementation NPS reflects a partnership model built to integrate smoothly with health plan teams and processes.
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Engaging member experience

Progyny Care Advocates provide personalized guidance that helps members understand and use their benefits.
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Actively managed network

1,100+ specialists across 650+ locations, managed for quality, access, and performance.  

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NCQA-accredited clinical oversight

Specialized utilization management helps support appropriate care, consistent outcomes, and responsible utilization.  

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Validated outcomes and reporting

Provider-sourced, member-level data gives plans clear visibility into utilization, outcomes, and program performance.

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Extend your offering across critical life stages

Progyny offers flexible solutions across fertility, pregnancy, postpartum, parenting, and menopause, allowing health plans to build the model that best fits their populations and strategy.  

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Preconception, Fertility, & Family Building

Comprehensive fertility and family building benefits designed to maximize success rates while containing cost and complexity.

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Pregnancy & Postpartum

 Earlier risk identification and expert support from prenatal care through postpartum recovery, for healthier mothers, babies, and families.

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Parent & Child Well-being

Expert guidance that reduces parental stress and helps families navigate development, care, and benefits.

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Menopause & Midlife Care

Specialized menopause care that helps employees manage symptoms, improve well-being, and stay productive.

Trusted by 600+ companies in 45+ industries

massmutual
heb
st-jule-childrens-research
microsoft
charter-communications
google
the-boston-company
nike
hca-healthcare
genentech
metro-nashville-public-school
"I have greatly appreciated the opportunity to collaborate with the Progyny team. Their extensive knowledge of their products and services is truly impressive, and they have consistently proven to be a reliable and valued partner."
Progyny health plan client
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Explore what a Progyny partnership could look like

Connect with our Health Plan Partnerships team to discuss your populations, priorities, clinical model, and integration needs.

1. World Health Organization. 1 in 6 People Globally Affected by Infertility: WHO. April 4, 2023. https://www.who.int/news/item/04-04-2023-1-in-6-people-globally-affected-by-infertility | 2. National Institute of Child Health and Human Development. High-Risk Pregnancy. https://www.nichd.nih.gov/health/topics/high-risk/more_information/resources | 3. Institute of Medicine. Preterm Birth: Causes, Consequences, and Prevention. 2007. https://nap.nationalacademies.org/catalog/11622/preterm-birth-causes-consequences-and-prevention | 4. Newson Health Research and Education. Impact of Perimenopause and Menopause on Work. 2021. https://www.nhmenopausesociety.org/research/impact-of-perimenopause-and-menopause-on-work/